患者，男，５８岁，中学教师。于２０００年４月无明确诱因出现右肩部疼痛，伴右肩关节活动障碍。疼痛为间歇性渐进性钝痛，以右侧肩和上臂部为主，关节各方向活动性受限，活动时症状加重。曾于外院以“右肩周炎”治疗，效差。体检：一般情况好，胸部未查出异常体征。右肩部皮 Patient, male, 58 years old, secondary school teacher. In April 2000, there was no clear cause of pain in the right shoulder, with right shoulder joint activity disorder. Pain is intermittent progressive dull pain, mainly in the right shoulder and upper arm, limited mobility in all directions of the joint, and increased symptoms during activity. He had been treated in the outer court with “right shoulder periarthritis” and he had poor results. Physical examination: In general, the chest did not detect abnormal signs. Right shoulder skin